Suburban Health Plan v. Yannes, No. Cv99 0067043s (May 2, 2001)

2001 Conn. Super. Ct. 5814
CourtConnecticut Superior Court
DecidedMay 2, 2001
DocketNo. CV99 0067043S
StatusUnpublished

This text of 2001 Conn. Super. Ct. 5814 (Suburban Health Plan v. Yannes, No. Cv99 0067043s (May 2, 2001)) is published on Counsel Stack Legal Research, covering Connecticut Superior Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Suburban Health Plan v. Yannes, No. Cv99 0067043s (May 2, 2001), 2001 Conn. Super. Ct. 5814 (Colo. Ct. App. 2001).

Opinion

[EDITOR'S NOTE: This case is unpublished as indicated by the issuing court.]

MEMORANDUM OF DECISION RE: DEFENDANT'S OBJECTION TO ACCEPTANCE OF ATTORNEY TRIAL REFEREE'S REPOPT (#116)
The issue before the court is whether the factual conclusions of an attorney trial referee were properly reached on the basis of the subordinate facts found in his report. The court concludes that the referee's factual conclusions are supported by his factual findings and, therefore, the court adopts the recommendation of the attorney trial referee.

On June 28, 1999, the plaintiff, Suburban Health Plan, Inc., filed a one count complaint against the defendant, John L. Yannes, Jr. Construction Corporation. Suburban filed an amended complaint on April 6, 2000. It alleges that the plaintiff provided medical insurance to the defendant for the period June 1, 1997, through May 31, 1998. It further alleges that $5,488.05 is the outstanding balance due for this insurance coverage and that the defendant has failed to pay the balance due.

The defendant filed an answer, dated July 11, 2000, denying the allegations of the complaint. It also asserted a special defense, which alleges that: "There was no contract in place between Plaintiff and Defendant at the times alleged."

On July 14, 2000, a trial was held before Max Stuart Case, an attorney trial referee (ATR). Both the plaintiff and the defendant filed post trial briefs. In its brief, dated August 25, 2000, the plaintiff argued that the evidence presented at trial proved that an express contract existed between the parties. It also argued, in the alternative, that if the ATR finds that no express contract existed between the parties, then, based on the defendant's conduct in making insurance premium payments to the plaintiff and submitting insurance claims to the plaintiff for payment, which were in fact paid, the ATR should find that there was an implied contract between the parties.

In its brief, dated August 31, 2000, the defendant argued that the CT Page 5815 plaintiff contracted with the individual subscriber, John L. Yannes, Jr., and not with the defendant corporation. It argued that the evidence that the plaintiff presented at trial supported the defendant's argument that this contract was with Yannes, rather than with the defendant. Further, it argued that the ATR could not find that the defendant had a contract with the plaintiff unless he first found that the plaintiff had proved that Yannes, in executing the subscriber agreement, was acting as an agent of the defendant or is its alter ego. This, it argued, the plaintiff failed to do.

On December 27, 2000, the ATR filed his report. "Based upon the preponderance of the credible evidence adduced at trial . . ." the ATR found, in relevant part that: the defendant in this case is John L. Yannes, Jr. Construction Corporation; John L. Yannes completed the plaintiff's enrollment form in the enrollment form Yannes identified the employer as John L. Yannes Construction, Inc. and identified the subscriber as John L. Yannes, Jr.; Yannes signed the form as subscriber; and he also signed that portion of the form entitled "To Be Completed by Employer"; within the plaintiff's group membership agreement the term "group" is defined as the employer and the term "subscriber" is defined as the individual enrolled for whom premiums have been paid pursuant to the agreement.

Additionally, the ATR found that the plaintiff: provided health insurance coverage to the defendant; charged the defendant a monthly premium of $376.07 for the period November 1, 1996, through October 31, 1997 and $515.39 for the period November 1, 1997, through May 31, 1998; received a $752.12 payment from the defendant in November, 1997, which was applied to the oldest premiums due; and received monthly premiums from the defendant through May 31, 1997.

Pursuant to the report the ATR also found that: the plaintiff terminated its contract with the defendant on May 14, 1998, due to the defendant's failure to pay outstanding premiums of $5,488.08 and that because the contract was terminated in the middle of the month, the premium due for the month of May should be prorated to reflect the fact that coverage was only provided for fourteen days, rather than for thirty-one days. Moreover, the ATR found that the signed enrollment form, when taken together with the group membership agreement and all the other evidence, was sufficient to constitute an express written agreement between the plaintiff and the defendant. The ATR also found that, although the defendant raised a special defense that there was no contract between the plaintiff and the defendant, it offered no direct evidence to support its defense. Accordingly, the ATR recommended that judgment enter in favor of the plaintiff and against the defendant in the amount of $5,213.17. CT Page 5816

On January 16, 2001, the defendant filed an objection to acceptance of the ATR's report on the ground that the ATR's conclusions, that John L. Yannes, Jr. Construction Corporation is the defendant and is responsible for this debt, are not supported by the factual findings contained in the report. In its memorandum, the defendant argues that while the ATR's report identifies John L. Yannes, Jr. Construction Corporation (Yannes, Jr. Corporation) as the defendant, the enrollment form and group membership agreement both identify the employer as John L. Yannes, Inc. (Yannes, Inc.) (Emphasis added.). The defendant admits that, from such findings, one may infer that Yannes, in signing the enrollment form as both the employer as subscriber, was acting as an agent of John L. Yannes, Inc. It argues, however, that none of the ATR's findings logically leads to the conclusion that Yannes was acting in his representative capacity on behalf of the Yannes, Jr. Corporation or that Yannes, Inc. was in fact Yannes, Jr. Corporation, whom the ATR designated as the defendant. Consequently, it argues that there are no factual findings in the record to support the ATR's conclusion that the defendant, Yannes, Jr. Corporation, is responsible for this bill. Additionally, the defendant argues that this defect is not a defect that may be cured by amending the pleadings so that they reflect the proper party's name. It argues that, in this case, the plaintiff did not merely misname the defendant but, rather, it failed to prove its case against the defendant named in the complaint.

On January 22, 2001, the plaintiff filed a memorandum in opposition to the defendant's objection to acceptance of the ATR's report. The plaintiff argues that the factual findings of the ATR are supported by the evidence that it introduced at trial. Further, it argues that the defendant did not, at any time before the ATR filed his report, ever claim that Yannes, Inc., rather than Yannes, Jr. Corporation, was responsible for payment for these services. It asserts that the defendant's only argument, up until that point, has been that the plaintiff contracted with the individual subscriber, Yannes, and not with the employer, and, therefore, it is the subscriber, rather than the employer, who is liable for payment pursuant to the agreement. It also argues that the defendant failed to produce any evidence to support its special defense that there was no contract between the plaintiff and the defendant; it did not introduce any evidence that Yannes, Jr. Corporation is a separate and distinct entity from that of Yannes, Inc. The plaintiff argues that there is no corporation named Yannes, Inc. registered with the secretary of state. It argues that there is, however, a corporation registered as Yannes, Jr. Corporation and, therefore, it could only have properly brought this action in the name of the registered corporation, Yannes, Jr. Corporation.

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Cite This Page — Counsel Stack

Bluebook (online)
2001 Conn. Super. Ct. 5814, Counsel Stack Legal Research, https://law.counselstack.com/opinion/suburban-health-plan-v-yannes-no-cv99-0067043s-may-2-2001-connsuperct-2001.